Factors predicting early deterioration in mild brain trauma: a prospective study.
Brain Inj
; 27(13-14): 1666-70, 2013.
Article
en En
| MEDLINE
| ID: mdl-24087934
ABSTRACT
PRIMARY OBJECTIVE:
To evaluate risk factors for clinical deterioration in mild traumatic brain injury. RESEARCHDESIGN:
Prospective cross-sectional. METHODS AND PROCEDURES This study evaluated 203 patients with mild traumatic brain injury. A brain computed tomography scan was performed in all patients and they were observed for 6-48 hours. MAIN OUTCOMES ANDRESULTS:
Among these patients, 2.5% had cerebral contusions and the most common sites for contusions were frontal lobes; 94% of patients had no hematoma in the initial scan, while 3% had subgaleal haematoma, 1.5% had subdural haematoma, 1% showed subarachnoid haemorrhage, 0.5% intracerebral haemorrhage and 0.5% epidural haemorrhage. GCS was 15 in 96.6% and 13-14 in 3.4%. GCS deteriorated in three (1.5%). Presence of coagulopathy, anticoagulant drug use, GCS of 13-14 and increased age predicted further deterioration. Among CT findings, those with midline shift, cerebral contusion and diffuse cerebral oedema deteriorated more. Among different haematoma types, only SDH predicted a worse outcome.CONCLUSIONS:
Although deterioration rarely occurs in patients with mild brain injury, those with coagulopathy, anticoagulant drug use, GCS of 13-14, increased age, midline shift, cerebral contusions, diffuse cerebral oedema and SDH were more prone to deterioration.
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Edema Encefálico
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Lesiones Encefálicas
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Tomografía Computarizada por Rayos X
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Hemorragia Intracraneal Traumática
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Anticoagulantes
Tipo de estudio:
Etiology_studies
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Observational_studies
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Prevalence_studies
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Prognostic_studies
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Risk_factors_studies
Límite:
Adult
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Aged
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Año:
2013
Tipo del documento:
Article